中药熏洗联合常规西医治疗非创伤性肩袖损伤患者的效果  

Effects of herbal fumigation combined with conventional Western medicine in treatment of patients with non-traumatic rotator cuff injury

作　　者：董升[1] 王建业[1] DONG Sheng;WANG Jianye(Massage Department of the Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450008 Henan,China)

机构地区：[1]河南中医药大学第三附属医院推拿科,河南郑州450008

出　　处：《中国民康医学》2025年第9期131-134,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察中药熏洗联合常规西医治疗非创伤性肩袖损伤患者的效果。方法:选取2022年9月至2023年9月该院收治的73例非创伤性肩袖损伤患者进行前瞻性研究,按随机数字表法将其分为观察组36例与对照组37例。对照组采用常规西医治疗,观察组在对照组基础上联合中药熏洗治疗,比较两组临床疗效,治疗前后肩关节疼痛程度[视觉模拟评分法(VAS)]评分、肩关节功能[Constant-Murley肩关节功能评价量表(CMS)]评分、疼痛介质指标[多巴胺(DA)、P物质(SP)、前列腺素E2(PGE2)]水平,以及不良反应发生率和复发率。结果:观察组治疗总有效率为94.59%,高于对照组的75.00%,差异有统计学意义(P<0.05);治疗后4、8周,两组VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组肩关节活动度、疼痛、日常活动、外展肌力等CMS评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组DA、PGE2、SP水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗期间,两组均未发生明显不良反应;观察组复发率低于对照组,差异有统计学意义(P<0.05)。结论:中药熏洗联合常规西医治疗非创伤性肩袖损伤患者可提高治疗总有效率和肩关节功能评分,以及降低肩关节疼痛程度评分、疼痛介质指标水平和复发率的效果优于单纯常规西医治疗。Objective:To observe effects of herbal fumigation combined with conventional Western medicine in treatment of patients with non-traumatic rotator cuff injury.Methods:A prospective study was conducted on 73 patients with non-traumatic rotator cuff injury admitted to the hospital from September 2022 to September 2023.According to the random number table method,they were divided into observation group(36 cases)and control group(37 cases).The control group was treated with conventional Western medicine,while the observation group was treated with herbal fumigation on the basis of that of the control group.The clinical efficacy,the shoulder joint pain degree[visual analogue scale(VAS)]scores,the shoulder joint function[Constant-Murley shoulder function evaluation scale(CMS)]scores,the pain mediator index[dopamine(DA),substance P(SP),prostaglandin E2(PGE2)]levels before and after the treatment,incidence of adverse reactions,and the recurrence rate were compared between the two groups.Results:The total effective rate of the observation group was 94.59%,which was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).At 4 and 8 weeks after the treatment,the VAS scores of the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the CMS scores of shoulder joint range of motion,pain,daily activities and abductor muscle strength in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of DA,PGE2 and SP in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).During the treatment,there were no obvious adverse reactions in the two gro

关 键 词：非创伤性肩袖损伤 常规西医 中药熏洗 疼痛 肩关节功能 疼痛 复发率 

分 类 号：R493[医药卫生—康复医学]